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Reducing childhood stunting in India: Insights from four subnational success cases

Author

Listed:
  • Rasmi Avula

    (International Food Policy Research Institute)

  • Phuong Hong Nguyen

    (International Food Policy Research Institute)

  • Lan Mai Tran

    (Independent Researcher)

  • Supreet Kaur

    (Previously With NITI Aayog, Government of India)

  • Neena Bhatia

    (NITI Aayog)

  • Rakesh Sarwal

    (NITI Aayog)

  • Arjan Wagt

    (UNICEF)

  • Deepika Nayar Chaudhery
  • Purnima Menon

    (International Food Policy Research Institute)

Abstract

Global success case analyses have identified factors supporting reductions in stunting across countries; less is known about successes at the subnational levels. We studied four states in India, assessing contributors to reductions in stunting between 2006 and 2016. Using public datasets, literature review, policy analyses and stakeholder interviews, we interpreted changes in the context of policies, programs and enabling environment. Primary contributors to stunting reduction were improvements in coverage of health and nutrition interventions (ranged between 11 to 23% among different states), household conditions (22–47%), and maternal factors (15–30%). Political and bureaucratic leadership engaged civil society and development partners facilitated change. Policy and program actions to address the multidimensional determinants of stunting reduction occur in sectors addressing poverty, food security, education, health services and nutrition programs. Therefore, for stunting reduction, focus should be on implementing multisectoral actions with equity, quality, and intensity with assured convergence on the same geographies and households.

Suggested Citation

  • Rasmi Avula & Phuong Hong Nguyen & Lan Mai Tran & Supreet Kaur & Neena Bhatia & Rakesh Sarwal & Arjan Wagt & Deepika Nayar Chaudhery & Purnima Menon, 2022. "Reducing childhood stunting in India: Insights from four subnational success cases," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(4), pages 1085-1097, August.
    • Handle: RePEc:spr:ssefpa:v:14:y:2022:i:4:d:10.1007_s12571-021-01252-x
    DOI: 10.1007/s12571-021-01252-x
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    References listed on IDEAS

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    1. Malavika A Subramanyam & Ichiro Kawachi & Lisa F Berkman & S V Subramanian, 2010. "Socioeconomic Inequalities in Childhood Undernutrition in India: Analyzing Trends between 1992 and 2005," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-9, June.
    2. Peng Nie & Anu Rammohan & Wencke Gwozdz & Alfonso Sousa-Poza, 2019. "Changes in Child Nutrition in India: A Decomposition Approach," IJERPH, MDPI, vol. 16(10), pages 1-22, May.
    3. Thomas, Deborah & Sarangi, Biraj Laxmi & Garg, Anu & Ahuja, Arti & Meherda, Pramod & Karthikeyan, Sujata R. & Joddar, Pinaki & Kar, Rajendra & Pattnaik, Jeetendra & Druvasula, Ramesh & Dembo Rath, Ali, 2015. "Closing the health and nutrition gap in Odisha, India: A case study of how transforming the health system is achieving greater equity," Social Science & Medicine, Elsevier, vol. 145(C), pages 154-162.
    4. Ottar Hellevik, 2009. "Linear versus logistic regression when the dependent variable is a dichotomy," Quality & Quantity: International Journal of Methodology, Springer, vol. 43(1), pages 59-74, January.
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    1. Dewi Marhaeni Diah Herawati & Deni Kurniadi Sunjaya, 2022. "Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A Qualitative Study," IJERPH, MDPI, vol. 19(20), pages 1-16, October.
    2. Nicholas Nisbett & Jody Harris & Derek Headey & Mara den Bold & Stuart Gillespie & Noora-Lisa Aberman & Olutayo Adeyemi & Richmond Aryeetey & Rasmi Avula & Elodie Becquey & Scott Drimie & Elyse Iruhir, 2023. "Stories of change in nutrition: lessons from a new generation of studies from Africa, Asia and Europe," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(1), pages 133-149, February.

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